By Mun K. Hong, Eyal Herzog
Edited via best cardiologists from St. Luke’s-Roosevelt sanatorium middle in ny, this publication deals functional algorithms for acquiring speedy, exact diagnoses and offering optimum therapy for sufferers with acute coronary syndrome (ACS). You’ll realize the professionals and cons and all of the issues that move into making a choice on the simplest interventional and non-invasive thoughts for treating diversified ACS stipulations.
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Extra resources for Acute Coronary Syndrome: Multidisciplinary and Pathway-Based Approach
10th ed. New York: McGraw-Hill; 2002. 10. Lloyd-Jones DM, Wang TJ, Leip EP, et al. Lifetime risk of developing coronary heart disease. Lancet 1999;353:89–92. 11. Jones D. Risk factors for coronary heart disease in African Americans. Arch Intern Med 2002;162:2565. 12. Libby P, Ridker PM, Maseri A. Inﬂammation and atherosclerosis. Circulation 2002; 105:1135–1143. 13. Falk E. Pathogenesis of atherosclerosis. J Am Coll Cardiol 2006;47(Suppl 1):C7– C12. 14. Davies MJ. Stability and instability: the two faces of coronary atherosclerosis.
In addition, a signiﬁcant number of patients may present to the ED with atypical symptoms. Early diagnosis and management of acute coronary syndrome (ACS) may lead to a signiﬁcant reduction in associated morbidity and mortality. ED physicians play an important role in the rapid diagnosis and management of patients with suspected ACS. This provides a diagnostic challenge to the emergency physician. In this chapter, we discuss various presentations of ACS and tools available for rapid diagnosis and immediate management of patients in the ED.
Patients initially triaged into a particular category may qualify for another category with availability of new results or change in symptoms. For instance, patients entering the intermediate risk category may need to be moved into advanced risk category if there is evidence of high-risk features such as new or worsening congestive heart failure (CHF) symptoms, malignant ventricular arrhythmias, hemodynamic instability, or recent percutaneous intervention or coronary artery bypass graft. Any evolving ST changes or positive cardiac markers within 24 hours will also move a patient into a higher risk category.